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Contact Information

ALTHEA MONTGOMERY
10459 TARA BEACH CIR
JONESBORO, GA30238-7955
 Phone: 678-230-7272
 Fax: 770-478-5214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Kinesiotherapist

226300000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ALTHEA MONTGOMERY · (Female)

NPI Number 1457346769
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2005
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1586
  • FL License # 1263
  • FL License # OT0007107
  • GA License # 2534
  • IL License # 056-005430
  • GA Medicaid 000902195A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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